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Hcc Coder Jobs in Massachusetts (NOW HIRING)

Sales & BizDev Manager - healow Insights

Westborough, MA ยท On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

HCC Coding * Medicare Advantage * Medicaid Managed Care * Quality Programs * Population Health * Value-Based Care * Demonstrated success meeting or exceeding sales quotas. * Experience managing ...

Outpatient Coder

Boston, MA ยท On-site

$50K - $57K/yr

Outpatient Coder Reports to: Director of Revenue Integrity Classification: Individual Contributor Location: Remote revision number and date : V 2.0; 5.11.2026 Organization Summary: Community Care ...

Medical Coder

Cambridge, MA

$20.50 - $27.25/hr

Medical Coder (/Medical coding) Duration: 10 Months+ (Possible Extension) Job Summary: The Medical Coder is responsible for conducting centralized medical coding activities using agEncoder as part of ...

Medical Coder

Hyannis, MA ยท On-site

$25 - $34/hr

To ensure appropriate coding for case mix classification and expected reimbursement based on assigned diagnosis, procedure and level codes and reimbursement classifications as supported by medical ...

PB Coder

Boston, MA ยท On-site

$28.06 - $44.20/hr

The Med Grp Professional Billing (PB) Coder II is responsible for accurately resolving coding edits in assigned Epic WQ's and assigning ICD-10, CPT, and HCPCS coding classifications and modifiers ...

Medical Coder

Hyannis, MA

$19.75 - $26.50/hr

* Analyzes, sequences and validates assigned codes based on medical record documentation using the automated encoder, book and coding compliance resources. * Demonstrates complete understanding of ...

Coder - Outpatient

Boston, MA ยท On-site

$34.39/hr

Successful completion of coding courses in anatomy, physiology and medical terminology * 1 year of Hospital and/or Physician Coding * 1 year coding at mid-level facilities or clinics * 1 year coding ...

Medical Coder

Cambridge, MA ยท On-site

$20.50 - $27.25/hr

Medical Coder A Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its ...

Medical Coder

Hyannis, MA ยท On-site

$19.75 - $26.50/hr

Medical Coder Purpose of Position: To assign and group diagnoses, procedure and level codes based on medical record documentation in accordance with coding compliance, regulatory and reimbursement ...

Medical Coder

Cambridge, MA

$20.50 - $27.25/hr

Client Direct Client Location Cambridge, MA Job Title Medical Coder Position Duration 9+ Months Must have skill-set [ ] Job Summary The Medical Coder is responsible for conduct of centralized medical ...

Outpatient Coder Reports to: Director of Revenue Integrity Classification: Individual Contributor Location: Remote revision number and date : V 2.0; 5.11.2026 Organization Summary: Community Care ...

Professional Coder I

Weymouth, MA ยท On-site

$26.30 - $37.60/hr

As well as both E/M codes and procedure codes. The Professional Surgical Coder I is expected at South Shore Physician Ambulatory Enterprise to query providers when documentation requires ...

Risk Coder

Boston, MA ยท On-site

$50K - $57K/yr

Manager, Risk Coding Classification: Individual Contributor Location: Boston (Remote) revision number and date: 2.0, 01.06.2025 Organization Summary: Community Care Cooperative (C3) is a 501(c)(3) ...

Risk Coder

Boston, MA ยท On-site

$24.75 - $32.75/hr

Manager, Risk Coding Classification: Individual Contributor Location: Boston (Remote) revision number and date: 2.0, 01.06.2025 Organization Summary: Community Care Cooperative (C3) is a 501(c)(3) ...

HIMS Coder

Braintree, MA

$22 - $26.75/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Medical HIMS Coder Full-Time career opportunity Valued for your Expertise in HIMS Coding Are you a skilled Health Information Management Systems (HIMS) Coder seeking a career that aligns with your ...

HIMS Coder

Braintree, MA ยท On-site

$23.25 - $28/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Medical HIMS Coder Full-Time career opportunity Valued for your Expertise in HIMS Coding Are you a skilled Health Information Management Systems (HIMS) Coder seeking a career that aligns with your ...

... coding validation) programs, ensuring complete, accurate, and compliant HCC documentation under the applicable CMS-HCC model (including V24 -V28 transition management). * Evaluate current vendor ...

Showing results 21-40

Hcc Coder information

See Massachusetts salary details

$17

$24

$37

How much do hcc coder jobs pay per hour?

As of Aug 17, 2026, the average hourly pay for hcc coder in Massachusetts is $24.49, according to ZipRecruiter salary data. Most workers in this role earn between $19.71 and $26.25 per hour, depending on experience, location, and employer.

What skills and qualifications are needed to thrive as an HCC coder?

To thrive as an HCC Coder, you need a solid understanding of medical coding, risk adjustment models, and ICD-10-CM coding guidelines, often supported by certifications such as CPC, CRC, or CCS. Familiarity with coding software, electronic health records (EHR) systems, and risk adjustment tools is typically required. Attention to detail, analytical thinking, and strong organizational skills distinguish top performers in this field. These competencies are crucial for ensuring accurate coding, compliant documentation, and optimal reimbursement for healthcare organizations.

What is the difference between Hcc Coder vs Medical Biller?

AspectHcc CoderMedical Biller
CertificationsHCC Coding Certification, CPCMedical Billing Certification, CPC
Work EnvironmentHospitals, clinics, insurance companiesMedical offices, billing companies, hospitals
Primary FocusAssigning Hierarchical Condition Category codes for insurance risk adjustmentProcessing insurance claims and patient billing
Industry UsageHealthcare, insuranceHealthcare, insurance

Hcc Coders specialize in assigning codes for insurance risk adjustment, focusing on Hierarchical Condition Categories, while Medical Billers handle the billing process, submitting claims and managing payments. Both roles require coding knowledge and work in healthcare settings, but their primary responsibilities differ significantly.

What are common challenges faced by HCC coders, and how can they be addressed?

HCC Coders often encounter challenges such as interpreting complex medical records, staying current with changing coding guidelines, and ensuring accurate documentation to maximize risk adjustment scores. To address these, coders can participate in ongoing training, regularly review updates from CMS and other regulatory bodies, and collaborate closely with clinical staff to clarify ambiguous documentation. Leveraging coding software and auditing processes can also help maintain accuracy and compliance in daily work.

What is an HCC coder?

HCC coders are medical coding professionals who specialize in Hierarchical Condition Category (HCC) coding. They review patient medical records to identify and assign appropriate diagnosis codes, ensuring accurate risk adjustment for Medicare Advantage and other value-based care programs. Their work is critical for healthcare organizations to receive proper reimbursement and to report patient health status accurately. HCC coders must understand both clinical documentation and coding guidelines to ensure compliance and optimize coding accuracy.

What are popular job titles related to Hcc Coder jobs in Massachusetts?

For Hcc Coder jobs in Massachusetts, the most frequently searched job titles are:

What cities in Massachusetts are hiring for Hcc Coder jobs?

Cities in Massachusetts with the most Hcc Coder job openings:

Infographic showing various Hcc Coder job openings in Massachusetts as of August 2026, with employment types broken down into 93% Full Time, and 7% Contract. Highlights an 80% In-person, and 20% Remote job distribution, with an average salary of $50,934 per year, or $24.5 per hour.

Sales & BizDev Manager - healow Insights (Health Plan + VBC Sales)

Tier3MD

Westborough, MA โ€ข On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 16 days ago


Job description

We are eClinicalWorks. We are a privately held leader in healthcare IT, providing comprehensive, cloud based EHR/PRM solutions to medical professionals worldwide to improve workflows and reduce the risk of physician burnout. We care. We are committed to positive change. And thatโ€™s where you come in. Do you value creativity and innovation? Great, so do we. At eClinicalWorks, we share a passion for improving healthcare through dedication, education, and teamwork. Everyone has that one thing theyโ€™re really good at. We value your talent and want you to join our fast-paced, fun, and culturally diverse environment. Ready to make a difference? Apply today.

Job Title: Sales & Business Development Manager - healow InsightsPosition Summary

Healow Insights is seeking a highly motivated and results-driven Sales & Business Development Manager with deep expertise in Risk Adjustment, Quality Programs, HEDISยฎ, Stars, Value-Based Care and Health Plan Sales. The ideal candidate will be responsible for driving market expansion, developing strategic partnerships, generating new business opportunities, and selling healow Insights solutions to health plans, ACOs, MSOs, CINs, and value-based care entities. The individual will work closely with executive leaders, product teams, and prospective clients to demonstrate how healow Insights improves quality performance, closes care gaps, optimizes risk capture, and enhances value-based care outcomes.

Key Responsibilities:Business Development & Sales
  • Develop and execute strategic sales plans to achieve revenue and growth targets.
  • Identify, qualify, and pursue new opportunities with health plans, provider groups, ACOs, CINs, FQHCs, and integrated delivery networks.
  • Build and maintain executive-level relationships with C-suite leaders, medical directors, quality executives, and population health stakeholders.
  • Own the full sales cycle, including prospecting, discovery, solution presentations, proposal development, contract negotiations, and deal closure.
  • Collaborate with marketing and product teams to develop go-to-market strategies and sales initiatives.
  • Maintain a robust sales pipeline and provide accurate forecasting.
Health Plan & Payer Strategy
  • Develop relationships with Medicare Advantage, Medicaid, ACA, Commercial, and Dual-Eligible health plans.
  • Position healow Insights solutions to address payer challenges related to quality improvement, member engagement, risk adjustment, and value-based contracts.
  • Understand health plan priorities associated with CMS Stars, HEDIS, CAHPS, and quality incentive programs.
  • Support partnership development opportunities between health plans and provider organizations.
Risk Adjustment & Quality Programs
  • Leverage expertise in Risk Adjustment and RAF optimization to identify client opportunities.
  • Consult with prospects on strategies to improve documentation, coding accuracy, and risk score performance.
  • Demonstrate value propositions related to:
    • Prospective and retrospective risk adjustment
    • Suspect condition management
    • Hierarchical Condition Categories (HCC)
    • Clinical documentation improvement
    • Quality measure performance
    • Care gap closure
    • Population health analytics
  • Educate clients on best practices for quality improvement initiatives and value-based performance programs.
Solution Consulting
  • Conduct product demonstrations and executive presentations.
  • Translate client business challenges into customized healow Insights solutions.
  • Collaborate with implementation and customer success teams to ensure successful client onboarding and adoption.
  • Participate in industry conferences, trade shows, and networking events to promote healow Insights.
Required Qualifications
  • Bachelor's degree in business, Healthcare Administration, Public Health, or related field.
5+ years of experience in the following:
  • Healthcare sales and business development experience.
  • Proven experience selling to:
    • Health Plans
    • ACOs
    • MSOs
    • CINs
    • Value-Based Care Organizations
  • Strong understanding of:
    • Risk Adjustment
    • HCC Coding
    • Medicare Advantage
    • Medicaid Managed Care
    • Quality Programs
    • Population Health
    • Value-Based Care
  • Demonstrated success meeting or exceeding sales quotas.
  • Experience managing complex enterprise sales cycles.
  • Excellent communication, presentation, and negotiation skills.
  • Domestic Travel up to 50%.
Preferred Qualifications
  • Experience with HEDISยฎ, CMS Stars, CAHPS, and quality reporting programs is preferred.
  • Experience selling healthcare analytics, population health, care management, engagement, or quality improvement solutions is preferred.
  • Existing relationships within health plans and provider organizations.
  • Knowledge of EMR/EHR platforms such as eClinicalWorks, Epic, Cerner, Athenahealth, and NextGen.
  • Experience selling data analytics, healthcare technology, or data solutions is preferred.
Key Competencies
  • Strategic Selling
  • Business Development
  • Relationship Management
  • Executive Presence
  • Consultative Solution Selling
  • Healthcare Analytics
  • Risk Adjustment Expertise
  • Quality Program Knowledge
  • Contract Negotiation
  • Cross-functional Collaboration
  • Market Expansion
Success Metrics
  • New Annual Recurring Revenue (ARR) generated
  • Qualified pipeline creation and conversion rates
  • Number of new health plan and provider partnerships established
  • Expansion of existing accounts
  • Achievement of quarterly and annual sales targets
  • Client adoption and retention rates
  • Contribution to strategic growth initiatives
Why Join healow Insights?

Join a fast-growing healthcare technology organization focused on helping health plans and provider organizations improve risk capture, quality performance, patient outcomes, and value-based care success through innovative analytics, engagement, and population health solutions. You will play a critical role in shaping the future growth of healow Insights and expanding its impact across the healthcare ecosystem.

Salary Range - $100,000 - $140,000 USD

This role will receive a competitive salary and benefits. The salary for employees hired into this role will be aligned with the range above, exclusive of potential bonuses. If you are hired, your base salary will be determined based on factors such as professional background, skills, education, and experience.

eClinicalWorks offers a rich suite of benefits which include the following: eighteen days of Paid Time Off per year which scales based on tenure; nine Paid Holidays and one Floating Holiday; insurance for eligible employees which includes medical, dental, vision, basic life, short term disability, long term disability, business travel accident, and accidental death and dismemberment.

As well, we offer a 401(k) plan with a Company safe harbor contribution; Flexible Spending Account for Health Care and Dependent Care for eligible employees; limited personal leave; additional voluntary benefits, including additional insurance (hospital indemnity, critical illness, accident, supplemental life, short term disability buy up, pet), genetic testing, legal plan, and supplemental accidental death and dismemberment; and an annual discretionary bonus for eligible employees.

eClinicalWorks is an Equal Opportunity Employer. We respect and seek to empower each individual and support the diverse cultures, perspectives, skills, and experiences that bring us together and help create a healthy world.